Sustaining Fidelity Following the Nationwide PMTO™ Implementation in Norway

Sustaining Fidelity Following the Nationwide PMTO™ Implementation in Norway
Forgatch, Marion; DeGarmo, David
2011-06-14 00:00:00
This report describes three studies from the nationwide Norwegian implementation of Parent Management Training—Oregon Model (PMTO™), an empirically supported treatment for families of children with behavior problems (Forgatch and Patterson 2010). Separate stages of the implementation were evaluated using a fidelity measure based on direct observation of intervention sessions. Study 1 assessed growth in fidelity observed early, mid, and late in the training of a group of practitioners. We hypothesized increased fidelity and decreased variability in practice. Study 2 evaluated method fidelity over the course of three generations of practitioners trained in PMTO. Generation 1 (G1) was trained by the PMTO developer/purveyors; Generation 2 (G2) was trained by selected G1 Norwegian trainers; and Generation 3 (G3) was trained by G1 and G2 trainers. We hypothesized decrease in fidelity with each generation. Study 3 tested the predictive validity of fidelity in a cross-cultural replication, hypothesizing that higher fidelity scores would correlate with improved parenting practices observed in parent–child interactions before and after treatment. In Study 1, trainees’ performance improved and became more homogeneous as predicted. In Study 2, a small decline in fidelity followed the transfer from the purveyor trainers to Norwegian trainers in G2, but G3 scores were equivalent to those attained by G1. Thus, the hypothesis was not fully supported. Finally, the FIMP validity model replicated; PMTO fidelity significantly contributed to improvements in parenting practices from pre- to post-treatment. The data indicate that PMTO was transferred successfully to Norwegian implementation with sustained fidelity and cross-cultural generalization.
http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.pngPrevention ScienceSpringer Journalshttp://www.deepdyve.com/lp/springer-journals/sustaining-fidelity-following-the-nationwide-pmto-implementation-in-hHkuVWus0R

Sustaining Fidelity Following the Nationwide PMTO™ Implementation in Norway

Abstract

This report describes three studies from the nationwide Norwegian implementation of Parent Management Training—Oregon Model (PMTO™), an empirically supported treatment for families of children with behavior problems (Forgatch and Patterson 2010). Separate stages of the implementation were evaluated using a fidelity measure based on direct observation of intervention sessions. Study 1 assessed growth in fidelity observed early, mid, and late in the training of a group of practitioners. We hypothesized increased fidelity and decreased variability in practice. Study 2 evaluated method fidelity over the course of three generations of practitioners trained in PMTO. Generation 1 (G1) was trained by the PMTO developer/purveyors; Generation 2 (G2) was trained by selected G1 Norwegian trainers; and Generation 3 (G3) was trained by G1 and G2 trainers. We hypothesized decrease in fidelity with each generation. Study 3 tested the predictive validity of fidelity in a cross-cultural replication, hypothesizing that higher fidelity scores would correlate with improved parenting practices observed in parent–child interactions before and after treatment. In Study 1, trainees’ performance improved and became more homogeneous as predicted. In Study 2, a small decline in fidelity followed the transfer from the purveyor trainers to Norwegian trainers in G2, but G3 scores were equivalent to those attained by G1. Thus, the hypothesis was not fully supported. Finally, the FIMP validity model replicated; PMTO fidelity significantly contributed to improvements in parenting practices from pre- to post-treatment. The data indicate that PMTO was transferred successfully to Norwegian implementation with sustained fidelity and cross-cultural generalization.

Journal

Prevention Science
– Springer Journals

Published: Jun 14, 2011

Recommended Articles

Loading...

References

Measuring risk and protective factors for substance use, delinquency, and other adolescent problem behaviors: The Communities That Care Youth Survey

Arthur, MW; Hawkins, JD; Pollard, JA; Catalano, RF; Baglioni, AJ

Father involvement in parent training: When does it matter?

Bagner, DM; Eyberg, SM

Mediators, moderators, and predictors of 1-year outcomes among children treated for early-onset conduct problems: A latent growth curve analysis

Beauchaine, TP; Webster-Stratton, C; Reid, MJ

Ecological validity and cultural sensitivity for outcome research: Issues for the cultural adaptation and development of psychosocial treatments with Hispanics

Bernal, G; Bonilla, J; Bellido, J

Parent Management Training—The Oregon Model (PMTO™): Effect of a prevention and treatment program for behavioral problems among kindergarten and elementary school children in Hafnarfjördur

Björnsdóttir, A; Simarsdóttir, M

Methods for testing theory and evaluating impact in randomized field trials: Intent-to-treat analyses for integrating the perspectives of person, place, and time

Brown, HC; Wang, W; Kellam, SG; Muthén, BO; Petras, H; Toyinbo, P

Effects of the Oregon Model of Parent Management Training (PMTO) on marital adjustment in new stepfamilies: A randomized trial